Archive | Don't Try This At Home RSS feed for this section
NY Hospital Sends Wrong Bills to Patients
1,250 medical statements contained plethora of identity information. Medical theft identity is on the rise. Is your organization prepared for a possible mishap? Take note of the latest possible casualty: After Rochester, NY-based Strong Memorial Hospital mailed about…
Continue reading...Feds Extend Off-Label Marketing Dragnet
1. June 2010
Off-label marketing of food and drugs remains in feds’ crosshairs. Giant drugmakers aren’t the only ones getting busted for off-label marketing: Look out for bad apples whose strange (and criminal) behavior could get themselves and the facility or practice where…
Continue reading...UBS Settles Healthsouth Case with Michigan for $117M
17. May 2010
Money will go to State Pension Fund to benefit future retirees. Financial services firm UBS and three of its former employees reached a $117 million settlement with Office of the Attorney General (OAG) in Michigan. The amount settles UBS’s financial…
Continue reading...Computers Follow the Scent of Medicaid Fraudsters in GA
3. May 2010
Data analysis helped health care investigators recover $26M in 2009. The state of Georgia has found an effective way to recover fraud money: computer data analysis. The state Attorney General’s office hopes to make use of the new method of…
Continue reading...Latest HEAT Bust: Miami Man Admits to Fraudulent Testing Scheme
26. April 2010
Conspiracy between workers and patients in a Detroit clinic cost Medicare nearly $5.4M. A resident of Miami, FL has conceded to submitting $7.42 million in false claims to Medicare in a fraudulent medical testing scheme, the Departments of Justice and…
Continue reading...Three Miami-Dade Residents Plead Guilty to Health Care Fraud
19. April 2010
Fake HIV-related treatments said to bilk Medicare for a total of $82 million. The FBI, with a little assistance from its friends in the HHS OIG, helped the feds in Miami net three more people who thought they were smarter…
Continue reading...‘Rollaway’ DME Supplier Gets 9-Year Sentence
27. March 2010
Aggressive power wheelchair marketing tactics part of a Medicare fraud scheme. A fugitive owner of a Los Angeles-based durable medical equipment company was sentenced to nine years in prison following a more than $1 million power wheelchair fraud case, a…
Continue reading...Texas HEAT Rounds Up More DME Medicare Fraud
15. March 2010
‘Arthritis kit’ fraudsters make it harder for legitimate orthotics providers to do their business. If you’ve been reading about Medicare fraud schemes involving ‘arthritis kits,’ and like me, you’re wondering how these schemes work,
Continue reading...Professional Whistleblower Nabs Another Hospital for False Outlier Payments
5. March 2010
Hospital billing consultant knew exactly how to blow the whistle — and gets $613,000 for his trouble. Brookhaven Memorial Hospital Medical Center in Long Island, NY will pay the federal government $2.92 (excluding interest) to settle…
Continue reading...Mercy Medical Center Pays $2.8 Million Settlement
1. March 2010
Lack of documentation for IRF services the crux of case The federal government gets a $2.8 million settlement from Mercy Medical Center after the hospital admitted it violated the False Claims Act some three years ago by…
Continue reading...- Some Flowers & Some PHI
- Organized Crime Turns to Health Care Fraud
- Audit Alert: Ambulance Services for Part A SNF Residents
- Feds Pinpoint Therapy in Major NPP Incident To Snafus
- Senior Medicare Patrol Recovered $4.5 Million by Watching for Fraud and Abuse
- Keep Staff Up to Date on CPR, Physical Restraint Policies
- HHS Investigates Humana For Scary Flyer
- OIG Settlement Highlights Personal Accountability for Compliance Officers, CEOs
- Prepare for Increased Fraud Enforcement with Medicaid Compliance Plan
- HHS Issues New Interim Rule on HIPAA Penalties
- Lois Mazza: I too would like to know how a gift shop employee ...
- David B.: Sometimes even if the staff and all involved are a...
- Gary Brazzell: Thanks for the response and additional info!...
- Gary Brazzell: Aren't gift cards a "cash equivalent" and therefor...
- Editor: Hi Gary: Thanks for writing in. I didn't deal too ...
- Do You Have a “Direct Reporting Relationship” with Your Board?
- Feds Tell Employers to Give Young Adults Coverage
- How to Get Physician Buy-In on Compliance Programs
- United Settles with Physicians, Subscribers for $350M
- Should Health Care Organizations Equate Risk with Compliance?
- Wisconsin Passes Parity Law for Mentally Ill and Drug Abusers
- HHS Must Draft New Regs on Visitation, Advance Directives at Hospitals
- New York OMIG’s Game Plan: Follow the 1’s and 0’s
- New Health Care Reform Law Alters Stark “In-Office” Exception
- Get Ready for More Modifier 59 Scrutiny
7. June 2010
0 Comments